Within seconds Republican GOP took to the Internet calling for a full repeal, undoubtedly a rallying cry for Tea Party activists who have been dying for something to get excited about. If you fall in that category, look for this sudden anti-ACA movement to be tampered down quickly after the donations start to die down. The reason, of course, is that numerous aspects of the Affordable Care Act are quite popular with the public. In fact the one major aspect of the ACA that has a majority disapproval was the individual mandate (a concept pushed by then Governor Mitt Romney). An inconvenient truth that the Romney campaign will loathe to keep rehashing in the media and one in which Obama for America will relish in reminding the public. Having the supreme court uphold the constitutional validity of the mandate section of ACA and what we can only imagine was months of planning for a ACA benefits PR plan - the public perception will only further improve.
The Supreme Court did clarify one aspect of ACA in regards to the funding for state Medicaid. Under the majority opinion, the court ruled that Congress couldn't reduce previous Medicaid reimbursements for not enacting new aspects of ACA. While a boon for some of the states run by conservative legislatures, it will hardly have an effect in Illinois since we are likely to enact all aspects that come with new funding anyway.
Now that the bill is going forward, good government groups have a new process to watch: how this bill gets enacted n Illinois. We can already see the private sector (including insurance companies) lobbying for a piece of the new health care pie, expect those efforts to significantly increase going forward.
A great info-graphic about the ACA and public opinion by Bill Rapp at Third Way: